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Work Activity Work Order Pa9e 1 <br /> L2�11���12 1�:12 <br /> Issued By s�r2 SPOONER,JAMES T. <br /> Issued Department Pw PUBLIC WORKS <br /> Date Issued tonmso�2 <br /> Fund qot Account 6 Progrem Function Activiry <br /> Program utsa�s s � <br /> Title CONVERT.751NCH 2412 CHESINUT ST UT3473-2-3 <br /> WOfk OfdBf NO Z��ZZ3�9 PfOJOCt Activity Type CORRECTIVE MAINTENANCE SlefUS Cl <br /> Status iononoiz Time is2s Original WO Billing <br /> Customer Information <br /> Customer Name Customer ld <br /> Address Street <br /> Apartment No City <br /> State Z�p <br /> Subdivision Change Map Y/N <br /> Phone No ( 1 • Ext <br /> Second Phone c 1 • Ext <br /> — <br /> E-Mail Address <br /> Prablem Information <br /> Address yq�p Stree CHESTNUT ST <br /> From Cross Street <br /> To Cross Street <br /> City ZiP <br /> Subdivision Map Book Map Reference <br /> Problem WATER WATER <br /> Sub Problem OTHER OTHER <br /> Requested By Date Requested <br /> Agency Related Request <br /> Initiated From <br /> Utitity Locate (USA) No Called Date Expiration Date <br /> Assignment Intormation <br /> Uept Priority Estimated Hours <br /> Crew <br /> Contractor <br /> Assigned To <br /> Assigned By <br /> Assigned Date To Be Comp Dale <br /> Scheduled Date Scheduled Time <br /> Route Route Sequence <br /> Comments <br /> Action Taken CONVERT.751NCH CURBSTOP T0.75 INCH SEttER WI METER AND BOX.FI.C.T TO METER <br /> PROJECT. <br /> Recommended Actlon <br /> Appioved By HLJ NUSBY,IANCEJ Job Costlnformation(Y/N) <br /> Start Oate � i Time Date Completed �on�no�s Permit No <br /> Completed By Time Follow Up7 <br /> i <br />